SAQ 495 – Cardiology – chest pain with abnormal ECG and shock

A 31-year-old man presents to a tertiary ED with 6 hours of severe central chest pain after a week of flu-like symptoms. He is triaged to resuscitation. His observations and ECG are shown below.

Observation	Result
Blood pressure	100/60 mmHg
Respiratory rate	35/min
SpO2	93% on room air
Temperature	37.5 C

List three (3) abnormal findings on the ECG.

(Marked out of 3.0)

/ 3

Soon after the ECG, his blood pressure falls to 85/50 mmHg, his pulse is 110/min in the same rhythm, and he becomes increasingly dyspnoeic. List five (5) likely differential diagnoses.

(Marked out of 5.0)

/ 5

List five (5) key uses of bedside ultrasound in this patient.

(Marked out of 5.0)

/ 5

His blood pressure falls to 60/50 mmHg and his heart rate rises to 160/min in the same rhythm. List five (5) treatment options to improve haemodynamics and give one relevant detail for each.

(Marked out of 10.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Treatment option</th> <th>Relevant detail</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> <tr> <td>4.</td> <td></td> </tr> <tr> <td>5.</td> <td></td> </tr> </tbody> </table> <p>

/ 10

Total Score: 0 / 23

Percentage: 0%